JORDAN JACKSON (NPI# 1811462898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811462898 |
| Entity Type | Individual |
| Full Name | JORDAN JACKSON |
| Credential | QBHP |
| Practice Address |
203b Westport Dr Cabot AR 72023-3657 |
| Practice Telephone | 5012622766 |
| Practice Fax Number | 5018439656 |
| Mailing Telephone | 5012622766 |
| Mailing Fax Number | 5018439656 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583069 | Jordan C Jackson | Chiropractor | 280 Us Highway 9 Ste E, Morganville, NJ 07751-1572 | 2020-09-21 |
| 1891315222 | Jordan Tyler Jackson | Student in an Organized Health Care Education/Training Program | 19512 Crest Ridge Dr, Edmond, OK 73012-3504 | 2020-04-27 |
| 1639712581 | Jordan Leigh Jackson | Counselor | 1914 5th Ave S, Irondale, AL 35210 | 2019-10-23 |
| 1205285160 | Jordan Aaron Jackson | Family Medicine | 7101 Jahnke Rd # 7151, Richmond, VA 23225-4017 | 2016-06-10 |
| 1942801923 | Jordan Jackson | Behavior Technician | 51145 Nicolette Dr, Chesterfield, MI 48047-4585 | 2020-11-05 |
| 1790396802 | Jordan N Jackson | Dentist | 8955 Wood Rd, Bethesda, MD 20889-5628 | 2020-08-12 |
| 1649881939 | Jordan Michelle Jackson | Behavior Technician | 6925 Parkdale Pl, Indianapolis, IN 46254-4673 | 2020-08-11 |
| 1619501004 | Jordan Jackson | Counselor | 3355 Bee Caves Rd Ste 101, West Lake Hills, TX 78746-6673 | 2020-02-25 |
| 1225598865 | Jordan Van Jackson | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2019-03-20 |
| 1902382161 | Jordan Jackson | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2018-07-11 |
| Street Address |
203B WESTPORT DR |
| City | CABOT |
| State | AR |
| Zip Code | 72023-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194756270 | Rachel Goff | Counselor | 203b Westport Dr, Cabot, AR 72023-3657 | 2006-07-06 |
| 1306462064 | Kelly Justice | Social Worker | 203b Westport Dr, Cabot, AR 72023-3657 | 2020-06-18 |
| 1891349452 | Scherrie Parker | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2019-07-31 |
| 1295389922 | Kayle Feather | Social Worker | 203b Westport Dr, Cabot, AR 72023-3657 | 2019-07-31 |
| 1639644602 | Keeona Cobb | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2018-10-05 |
| 1093280067 | Katherine Henkel | Social Worker | 203b Westport Dr, Cabot, AR 72023-3657 | 2018-10-05 |
| 1548743834 | Christina Lucas | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2018-09-12 |
| 1457838351 | Samuel Kurkiewicz | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2018-07-24 |
| 1720525785 | Katherine Bishop | Counselor | 203b Westport Dr, Cabot, AR 72023-3657 | 2017-01-27 |
| 1639629207 | Anne Marie Osburn | Social Worker | 203b Westport Dr, Cabot, AR 72023-3657 | 2016-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458407 | Arthur Latrell Mays Jr. | Transportation Broker | 18 High Plains Drive, Cabot, AR 72023 | 2019-10-17 |
| 1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1558889220 | Justin Kent | Physical Therapist | 2800 South 2nd Street Ste. B, Cabot, AR 72023 | 2017-09-01 |
| 1518310390 | Viki Vinson | Registered Nurse | 51 Financial Drive, Cabot, AR 72023 | 2016-07-18 |
| 1477934552 | Next Generation Physical Therapy | Physical Therapist | 100 Gateway Drive, Cabot, AR 72023 | 2015-06-15 |
| 1366829020 | Amber Barnes | Speech-Language Pathologist | 16150 Arkansas 5, Cabot, AR 72023 | 2015-05-01 |
| 1184020984 | Jodi Hood | Speech-Language Pathologist | 601 N Lincoln St, Cabot, AR 72023 | 2014-11-06 |
| Find all providers in zip 72023 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548723935 | Rebecca Taylor | Case Manager/Care Coordinator | 3358 S 2nd St, Cabot, AR 72023-7873 | 2019-04-11 |
| 1962570044 | Phyllis Jane Seaton | Case Manager/Care Coordinator | 405 N 2nd St, Cabot, AR 72023-2539 | 2006-11-30 |
| 1710520895 | Amanda Howard | Case Manager/Care Coordinator | 3358 S 2nd St Ste D, Cabot, AR 72023-7876 | 2019-10-22 |
| 1891349452 | Scherrie Parker | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2019-07-31 |
| 1225696479 | Jennifer Leeann Phillips | Case Manager/Care Coordinator | 3358 S 2nd St, Cabot, AR 72023-7873 | 2019-06-03 |
| 1639644602 | Keeona Cobb | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2018-10-05 |
| 1548743834 | Christina Lucas | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2018-09-12 |
| 1457838351 | Samuel Kurkiewicz | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2018-07-24 |
| 1245685338 | Maritza Feliciano Rodriguez | Case Manager/Care Coordinator | 3358 S 2nd St Ste D, Cabot, AR 72023-7876 | 2016-04-26 |
| 1063887339 | Kristina Jones | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2015-12-11 |
| Find all providers in CABOT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.